AU2003299863A1

AU2003299863A1 - Immunostimulatory compositions and methods of stimulating an immune response

Info

Publication number: AU2003299863A1
Application number: AU2003299863A
Authority: AU
Inventors: George W. Griesgraber; Ross M. Kedl; Isidro Angelo E. Zarraga
Original assignee: 3M Innovative Properties Co
Current assignee: 3M Innovative Properties Co
Priority date: 2002-08-15
Filing date: 2003-08-14
Publication date: 2004-05-04
Anticipated expiration: 2023-08-14
Also published as: US20040091491A1; AU2003299863A2; BR0313587A; JP5491364B2; DK1545597T3; JP2006507265A; EP1545597A4; EP2269632B1; JP4860923B2; WO2004032829A3; CN1671412B; US7427629B2; KR20050026709A; EP2269632A2; CA2495570C; WO2004032829A2; PT1545597E; JP2011057699A; ES2355819T3; ATE488246T1

Abstract

The present invention provides immunostimulatory compositions that included an immune response modifier portion paired with an antigenic portion.

Description

WO 2004/032829 PCT/US2003/025523 IMMUNOSTIMULATORY COMPOSITIONS AND METHODS OF STIMULATING AN IMMUNE RESPONSE Cross-Reference to Related Application 5 This application claims priority to U.S. Provisional Patent Application No. 60/403,846, filed August 15, 2002. Background Immune response modifiers ("IRMs") include compounds that possess potent innmunomodulating activity including but not limited to antiviraland antitumor activity. 10 Certain IRMs modulate the production and secretion of cytokines. For example, certain IRM compounds induce the production and secretion of cytolkines such as, e.g., Type I interferons, TNF-a, IL-1, IL-6, IL-8, IL-10, IL-12, MIP-1, and/or MCP-1. As another example, certain IRM compounds can inhibit production and secretion of certain TH-2 cytokines, such as IL-4 and IL-5. Additionally, some IRM compounds are said to suppress IL-1 and TNF (U.S. 15 Patent No. 6,518,265). Certain IRMs are small organic molecules (e.g., molecular weight less than about 1000 Daltons, in certain cases less than about 500 Daltons, as opposed to large biologic protein, peptides, and the like) such as those disclosed in, for example, U.S. Patent Nos. 4,689,338; 4,929,624; 4,988,815; 5,037,986; 5,175,296; 5,238,944; 5,266,575; 5,268,376; 20 5,346,905; 5,352,784; 5,367,076; 5,389,640; 5,395,937; 5,446,153; 5,482,936; 5,693,811; 5,741,908; 5,756,747; 5,939,090; 6,039,969; 6,083,505; 6,110,929; 6,194,425; 6,245,776; 6,331,539; 6,376,669; 6,451,810; 6,525,064; 6,545,016; 6,545,017; 6,558,951; and 6,573,273; European Patent 0 394 026; U.S. Patent Publication No. 2002/0055517; and International Patent Publication Nos. WO 01/74343; WO 02/46188; WO 02/46189; WO 02/46190; WO 25 02/46191; WO 02/46192; WO 02/46193; WO 02/46749 WO 02/102377; WO 03/020889; WO 03/043572 and WO 03/045391. Additional examples of small molecule IRMs include certain purine derivatives (such as those described in U.S. Patent Nos. 6,376,501, and 6,028,076), certain imidazoquinoline amide derivatives (such as those described in U.S. Patent No. 6,069,149), certain 1 WO 2004/032829 PCT/US2003/025523 benzimidazole derivatives (such as those described in U.S. Patent 6,387,938), and certain derivatives of a 4-aminopyrimidine fused to a five membered nitrogen containing heterocyclic ring (such as adenine derivatives described in U. S. Patent Nos. 6,376,501; 6,028,076 and 6,329,381; and in WO 02/08595). 5 Other IRMs include large biological molecules such as oligonucleotide sequences. Some IRM oligonucleotide sequences contain cytosine-guanine dinucleotides (CpG) and are described, for example, in U.S. Patent Nos. 6,194,388; 6,207,646; 6,239,116; 6,339,068; and 6,406,705. Some CpG-containing oligonucleotides can include synthetic immunomodulatory structural motifs such as those described, for example, in U.S. Pat. Nos. 6,426,334 and 10 6,476,000. Other IRM nucleotide sequences lack CpG and are described, for example, in International Patent Publication No. WO 00/75304. Certain IRMs can function as Toll-like receptor (TLR) agonists. Some small molecule IRMs may act through one or more of TLRs 2, 4, 6, 7, and 8. CpG may act through TLR 9. By stimulating certain aspects of the immune system, as well as suppressing other 15 aspects (see, e.g., U.S. Patent Nos. 6,039,969 and 6,200,592), IRMs maybe used to treat many diseases. For example, the small molecule IRM imiquimod is useful for the treatment of external genital and perianal warts caused by human papillomavirus [see, e.g., Tomai et al, Antiviral Research 28(3): 253-64 (1995)]. Examples of other diseases that may be treated using IRMs include, but are not limited to, basal cell carcinoma, eczema, essential 20 thrombocythaemia, hepatitis B, multiple sclerosis, neoplastic diseases, psoriasis, rheumatoid arthritis, type I herpes simplex, and type II herpes simplex. IRM compounds also can modulate humoral immunity by stimulating antibody production by B cells. Further, various IRMs have been shown to be useful as vaccine adjuvants (see, e.g., U.S. Pat. Nos. 6,083,505 and 6,406,705). 25 Summary of the Invention It has now been found that IRMs, especially small molecule IRMs and agonists of TLR 2, 4, 6, 7, and 8, are surprisingly effective at stimulating an immune response when chemically or physically paired with an antigen to form an inununostimulatory composition. 30 The immunostimulatory effect of a particular composition may be greater than the 2 WO 2004/032829 PCT/US2003/025523 immunostimulatory effect of the same antigen and the same or a comparable IRM as that in the composition, but administered in an unpaired form. The present invention provides an immunostimulatory composition that includes an immune response modifier (IRM) portion paired with an antigenic portion. In some 5 embodiments, the IRM portion may be, or be derived from, an agonist of Toll-like receptor 2, Toll-like receptor 4, Toll-like receptor 6, Toll-like receptor 7, or Toll-like receptor 8. In other embodiments, the IRM portion may include, or be derived from, an imidazoquinoline amine; a tetrahydroimidazoquinoline amine; an imidazopyridine amine; an aryl ether-substituted imidazopyridine amine; a 1,2-bridged imidazoquinoline amine; a 6,7-fused 10 cycloalkylimidazopyridine amine; an imidazonaphthyridine amine; a tetrahydroimidazonaphthyridine amine; an oxazoloquinoline amine; a thiazoloquinoline amine; an oxazolopyridine amine; a thiazolopyridine amine; an oxazolonaphthyridine amine; or a thiazolonaphthyridine amine. In still other embodiments, the IRM portion may include, or be derived from, an organic moiety having a molecular weight of less than about 1000 15 Daltons. The antigenic portion may include an amino acid sequence, a nucleotide sequence, a lipopolysaccharide, a prion, a bacterium, a virus, or a fungus. In another aspect, the present invention provides a method of stimulating T cells of a patient. The method includes providing an immunostimulatory composition that includes an immune response modifier paired with an antigenic portion; permitting the 20 immunostimulatory composition to bind to antigen-presenting cells, thereby activating the antigen-presenting cells; and permitting the activated antigen-presenting cells to stimulate the patient's T cells. The patient's T cells may be stimulated in vivo or in vitro. In yet another aspect, the present invention provides a method of stimulating antibody producing cells. The method includes providing an immunostimulatory composition that 25 comprises an immune response modifier portion paired with an antigenic portion; and permitting the immunostimulatory composition to bind to the antibody-producing cells. The antibody-producing cells may be stimulated in vivo or in vitro. Various other features and advantages of the present invention should become readily apparent with reference to the following detailed description, examples, claims and appended 30 drawings. In several places throughout the specification, guidance is provided through lists of 3 WO 2004/032829 PCT/US2003/025523 examples. In each instance, the recited list serves only as a representative group and should not be interpreted as an exclusive list. Brief Description of the Drawings 5 Figure 1 shows the percentage of ovalbumin-specific activated CD8 + T cells generated by mice immunized with ovalbunin, as described in Example 4. Figure 2 shows the percentage of ovalbumin-specific activated CD8 + T cells generated by mice immunized subcutaneously with an IRM-ovalbumin conjugate, as described in Example 4. 10 Figure 3 shows the percentage of ovalbumin-specific activated CD8 + T cells generated by mice immunized intraperitoneally with an IRM-ovalbumin conjugate, as described in Example 4. Figure 4 shows production of interferon-y induced by mice immunized with ovalbumin, as described in Example 5. 15 Figure 5 shows production of interferon-y induced by mice immunized subcutaneously with an IRM-ovalbumin conjugate, as described in Example 5. Figure 6 shows production of interferon-y induced by mice immunized intraperitoneally with an IRM-ovalbumin conjugate, as described in Example 5. Figure 7 shows an increase in the antigen-specific immune response upon providing a 20 secondary immunization with an IRM-ovalbumin conjugate, as described in Example 6. Figure 8 shows reduction in tumor size after immunization with a tumor-specific IRM antigen conjugate, as described in Example 7. Figure 9 shows expansion of activated tumor antigen-specific CD8 + T cells in the spleen after immunization with an IRM-tmor antigen conjugate, as described in Example 8. 25 Figure 10 shows expansion of activated tumor antigen-specific CD8 + T cells in the tumor after immunization with an IRM-tumor antigen conjugate, as described in Example 8. Figure 11 shows the percentage of antigen presenting cells that are presenting Kb/SIINFEKL after immunization with ovalbumin, as described in Example 9. Figure 12 the percentage of antigen presenting cells that are presenting Kb/SIINFEKL 30 after immunization with ovalbumin plus non-conjugated IRM, as described in Example 9. 4 WO 2004/032829 PCT/US2003/025523 Figure 13 the percentage of antigen presenting cells that are presenting Kb/SIINFEKL after immunization with IRM-ovalbumin conjugate, as described in Example 9. Figure 14 shows survival rates of mice immunized with ovalbumin or an IRM ovalbumin conjugate after challenge with ovalbumnin-expressing tumor cells, as desribed in 5 Example 10. Figure 15 shows expansion of antigen-specific CD8 + T cells after immunization with ovalbumin, as described in Example 11. Figure 16 shows expansion of antigen-specific CD8 + T cells in one subject after immunization with a colloidal suspension of IRM and ovalbumin, as described in Example 10 11. Figure 17 shows expansion of antigen-specific CD8 + T cells in a second subject after immunization with a colloidal suspension of IRM and ovalbumin, as described in Example 11. Figure 18 shows the expansion of antigen-specific CD8 + T cells as a result of 15 immunization with IRM-antigen conjugates using two different IRMs. Figure 19 shows the fold expansion of CD8 + T cells over immunization with ovalbumin alone of mice immunized with various immunostimulatory compositions. Detailed Description of Illustrative Embodiments of the Invention 20 The present invention provides immunostimulatory compositions (ISCs), methods of making immunostimulatory compositions, methods of eliciting an immune response using immunostimulatory compositions, and methods of enhancing the immunostimulatory activity of an IRM by pairing the IRM with another immunostimulatory component (e.g., an antigen). The ISCs may be designed to elicit a cell-mediated immune response, a humoral immune 25 response, or both. As noted above, many IRMs can be used as a vaccine adjuvant to increase the immune response generated against one or more antigens also presented in the vaccine. Surprisingly, certain ISCs according to the present invention can provide an even greater immune response than a vaccine containing the same or a comparable IRM and the same antigen, but in an 5 WO 2004/032829 PCT/US2003/025523 unpaired form. In one case, an ISC provided an immune response about five-fold greater than the immune response generated by a vaccine that included the same antigen and a comparable IRM. As used herein, the term "paired" and variations thereof refer to components 5 associated in some chemical or physical manner so that the components are not freely dispersible from one another. For example, two components may be covalently bound to one another so that the two components are incapable of separately dispersing or diffusing. Pairing also may be achieved by, for example, non-covalent affinity binding, ionic binding, hydrophilic or hydrophobic affinity, physical entrapment, and the like. Pairing is specifically 10 distinguished from a simple mixture of antigen and adjuvant in a conventional vaccine. In a simple mixture, the components can be free to independently disperse within the vaccinated environment. As used herein, "paired" and variations thereof confers an understanding that paired components maintain a chemical or physical association after immunization. The immune response modifier portion may be, or be derived from, any suitable IRM. 15 Suitable IRMs include small organic molecules, i.e., molecules having a molecular weight of less than about 1000 Daltons, although in some embodiments the IRM may have a molecular weight of less than about 700 Daltons and in some cases the IRM may have a molecular weight from about 500 Daltons to about 700 Daltons. Suitable IRMs also include agonists of one or more of TLRs 2, 4, 6, 7, 8 and 9. In some embodiments, suitable IRMs include but are 20 not limited to the small molecule IRM compounds described above and derivatives thereof. Suitable small molecule IRMs, having a 2-aminopyridine fused to a five membered nitrogen containing heterocyclic ring, include but are not limited to imidazoquinoline amines including but not limited to amide-substituted imidazoquinoline amines, sulfonamide-substituted imidazoquinoline amines, urea-substituted imidazoquinoline amines, aryl ether-substituted 25 imidazoquinoline amines, heterocyclic ether-substituted imidazoquinoline amines, amido ether-substituted imidazoquinoline amines, sulfonamido ether-substituted imidazoquinoline amines, urea-substituted imidazoquinoline ethers, and thioether-substituted imidazoquinoline amines; tetrahydroimidazoquinoline amines including but not limited to amide-substituted tetrahydroimidazoquinoline amines, sulfonamide-substituted tetrahydroimidazoquinoline 30 amines, urea-substituted tetrahydroimidazoquinoline amines, aryl ether-substituted 6 WO 2004/032829 PCT/US2003/025523 tetrahydroimidazoquinoline amines, heterocyclic ether-substituted tetrahydroimidazoquinoline amines, amido ether-substituted tetrahydroimidazoquinoline amines, sulfonamido ether-substituted tetrahydroimidazoquinoline amines, urea-substituted tetrahydroimidazoquinoline ethers, and thioether-substituted tetrahydroimidazoquinoline 5 amines; imidazopyridine amines including but not limited to amnide-substituted imidazopyridine amines, sulfonamido-substituted imidazopyridine amines, urea-substituted imidazopyridine amines; aryl ether-substituted imidazopyridine amines, heterocyclic ether substituted imidazopyridine amines, amido ether-substituted imidazopyridine amines, sulfonamido ether-substituted imidazopyridine amines, urea-substituted imidazopyridine 10 ethers, and thioether-substituted imidazopyridine amines; 1,2-bridged imnidazoquinoline amines; 6,7-fused cycloalkylimidazopyridine amines; imidazonaphthyridine amines; tetrahydroimidazonaphthyridine amines; oxazoloquinoline amines; thiazoloquinoline amines; oxazolopyridine amines; thiazolopyridine amines; oxazolonaphthyridine amines; and thiazolonaphthyridine amines. 15 Additional suitable small molecule IRMs include the certain purine derivatives, certain imidazoquinoline amide derivatives, certain benzimidazole derivatives, and certain derivatives of a 4-aminopyrimidine fused to a five membered nitrogen containing heterocyclic ring (e.g., adenine derivatives) described above. Other suitable IRMs include the CpGs and other IRM nucleotide sequences that lack 20 CpG described above. The antigenic portion can include any material that raises a cell-mediated immune response, a humoral immune response, or both. Suitable antigenic materials include but are not limited to peptides; polypeptides; lipids; glycolipids; polysaceharides; carbohydrates; polynucleotides; prions; live or inactivated bacteria, viruses or fmungi; and bacterial, viral, 25 fungal, protozoal, tumnor-derived, or organism-derived immunogens, toxins or toxoids. Diseases for which immunostimulatory compositions of the present invention may be used as treatments include, but are not limited to: (a) viral diseases, such as genital warts, common warts, plantar warts, hepatitis B, hepatitis C, herpes simplex virus type I and type II, molluscum contagiosum, variola, HIV, 30 CMV, VZV, rhinovirus,'adenovirus, coronavirus, influenza, para-influenza; 7 WO 2004/032829 PCT/US2003/025523 (b) bacterial diseases, such as tuberculosis, and mycobacterium avium, leprosy; (c) other infectious diseases, such as fungal diseases, chlamydia, candida, aspergillus, cryptococcal meningitis, pneumocystis carnii, cryptosporidiosis, histoplasmosis, toxoplasmosis, trypanosome infection, leishmaniasis; 5 (d) neoplastic diseases, such as intraepithelial neoplasias, cervical dysplasia, actinic keratosis, basal cell carcinoma, squamous cell carcinoma, hairy cell leukemia, Karposi's sarcoma, melanoma, renal cell carcinoma, myelogeous leukemia, multiple myeloma, non Hodgkin's lymphoma, cutaneous T-cell lymphoma, and other cancers; (e) TH-2 mediated, atopic, and autoimmune diseases, such as atopic dermatitis or 10 eczema, eosinophilia, asthma, allergy, allergic rhinitis, systemic lupus erythematosis, essential thrombocythaemia, multiple sclerosis, Ommen's syndrome, discoid lupus, alopecia areata, inhibition of keloid formation and other types of scarring, and enhancing would healing, including chronic wounds; and (f) as a vaccine adjuvant for use in conjunction with any material that raises either 15 humoral and/or cell mediated immune response, such live viral and bacterial immunogens and inactivated viral, tumor-derived, protozoal, organism-derived, fungal, and bacterial imnmunogens, toxoids, toxins, polysaccharides, proteins, glycoproteins, peptides, cellular vaccines, DNA vaccines, recombinant proteins, glycoproteins, and peptides, and the like, for use in connection with, e.g., BCG, cholera, plague, typhoid, hepatitis A, B, and C, influenza A 20 and B, parainfluenza, polio, rabies, measles, mumps, rubella, yellow fever, tetanus, diphtheria, hemophilus influenza b, tuberculosis, meningococcal and pneumococcal vaccines, adenovirus, HIV, chicken pox, cytomegalovirus, dengue, feline leukemia, fowl plague, HSV 1 and HSV-2, hog cholera, Japanese encephalitis, respiratory syncytial virus, rotavirus, papilloma virus, and yellow fever. 25 Immunostimulatory compositions of the invention include an effective amount of biological activity of both the immune response modifier portion and the antigenic portion. An effective amount of biological activity of the immune response portion ("IRM activity") includes one or more of the following: an increase in cytokine production by T cells, activation of T cells specific to an antigen, and activation of dendritic cells. An effective 30 amount of biological activity of the antigenic portion ("antigenic activity") includes one or 8 WO 2004/032829 PCT/US2003/025523 more of the following: generation of antibodies specific to the antigen by B cells and generation of antigen-presenting cells that present the antigen. Immunostimulatory compositions of the present invention may be combined with a pharmaceutically acceptable carrier, one or more excipients, or some combination of the foregoing in order to form a 5 pharmaceutical composition. Although the exact amount of active compound used in a pharmaceutical composition of the invention will vary according to factors known to those of skill in the art, such as the physical and chemical nature of the immunostimulatory composition, the nature of the carrier, the nature of the subject's immune system (e.g., suppressed, compromised, stimulated), and 10 the intended dosing regimen, it is anticipated that pharmaceutical compositions of the invention will contain sufficient immune response modifier portion to provide a dose of about 100 ng/kg to about 50 mg/kg, preferably about 10 gg/kg to about 5 mg/kg, of IRM to the subject. A variety of dosage forms may be used, such as tablets, lozenges, capsules, parenteral 15 formulations, syrups, creams, ointments, aerosol formulations, transdermal patches, transmucosal patches and the like. Pharmaceutical compositions of the invention can be administered as the single therapeutic agent in a treatment regimen, or the pharmaceutical composition may be administered in combination with another pharmaceutical composition or with other active 20 agents, including additional immune response modifiers, antivirals, antibiotics, antibodies, proteins, peptides, oligonucleotides, etc. In some embodiments, the immunostimulatory immune response modifier portion may be covalently coupled to the antigenic portion to form an immunostimulatory conjugate. As used herein, "covalently coupled" refers to direct and indirect coupling of two components 25 exclusively through covalent bonds. Direct covalent coupling may involve direct covalent binding between an atom of the immune response modifier portion and an atom of the antigenic portion. Alternatively, the covalent coupling may occur through a linking group covalently attached to the IRMI portion, the antigenic portion, or both, that facilitates covalent coupling of the IRM portion and the antigenic portion. Indirect covalent coupling may 30 include a third component such as, for example, a solid support to which the immune response 9 WO 2004/032829 PCT/US2003/025523 modifier portion and the antigenic portion are separately covalently attached. Also, "covalently coupled" and "covalently attached" are used interchangeably. An immunostimulatory conjugate can include an immune response modifier moiety as the IRM portion and an antigen-containing moiety as the antigenic portion. When 5 synthesizing an immunostimulatory conjugate, each of the immune response modifier moiety, the linking group, and the antigen-containing moiety may be selected so that the resulting immunostimulatory conjugate possesses an effective amount of IRM activity and an effective amount of antigenic activity. The linking group can be any suitable organic linking group that allows the antigen 10 containing moiety to be covalently coupled to the immune response modifier moiety while preserving an effective amount of IRM activity and antigenic activity. In some embodiments, the linking group may be selected to create sufficient space between the active core of the immune response modifier moiety and the antigen-containing moiety that the antigen containing moiety does not interfere with a biologically effective interaction between the 15 active core and T cells that results in IRM activity such as cytokine production. The linking group includes a reactive group capable of reacting with the antigen to form a covalent bond. Suitable reactive groups include those discussed in Hermanson, G. (1996), Bioconjugate Techniques, Academic Press, Chapter 2 "The Chemistry of Reactive Functional Groups", 137-166. For example, the linking group may react with a primary 20 amine (e.g., an N-hydroxysuccinimidyl ester or an N-hydroxysulfosuccinimidyl ester); it may react with a sulfhydryl group (e.g., a maleimide or an iodoacetyl), or it may be a photoreactive group (e.g. a phenyl azide including 4-azidophenyl, 2-hydroxy-4-azidophenyl, 2-nitro-4 azidophenyl, and 2-nitro-3-azidophenyl). A chemically active group accessible for covalent coupling to the linking group 25 includes groups that may be used directly for covalent coupling to the linking group or groups that may be modified to be available for covalent coupling to the linking group. For example, suitable chemically active groups include but are not limited to primary amines and sulfhydryl groups. Because certain antigen-containing moieties, e.g., proteins and other peptides, may include a plurality of chemically active groups, certain ISCs according to the present 10 WO 2004/032829 PCT/US2003/025523 invention may include a plurality of IRM moieties conjugated to a particular antigen containing moiety. Methods of Making Immunostimulatory Conjugates 5 Immunostimulatory conjugates according to the present invention generally may be prepared by reacting an immune response modifier with a crosslinker and then reacting the resulting intermediate with an antigen. Many crosslinkers suitable for preparing bioconjugates are known and many are commercially available. See for example, Hermanson, G. (1996) Bioconjugate Techniques, Academic Press. 10 Immunostimulatory conjugates according to the present invention also may be prepared, for example, according to the method shown in Reaction Scheme I in which the antigen-containing moiety is linked to the IRM moiety through R 1 . In step (1) of Reaction Scheme I a compound of Formula III is reacted with a heterobifunctional cross-linker of Formula IV to provide a compound of II. RA and RB each contain a functional group that is 15 selected to react with the other. For example, if RA contains a primary amine, then a heterobifunctional cross-linker may be selected in which R] contains an amine-reactive functional group such as an N-hydroxysulfosuccinimidyl ester. RA and RB may be selected so that they react to provide the desired linker group in the conjugate. Methods for preparing compounds of Formula III where RA contains a functional 20 group are known. See for example, U.S. Patent Nos. 4,689,338; 4,929,624; U.S. Patent No. 5,268,376; 5,389,640; 5,352,784; 5,494,916; 4,988,815; 5,367,076; 5,175,296; 5,395,937; 5,741,908; 5,693,811; 6,069,149; 6,194,425; and U.S. Patent 6,331,539 and International Publications WO 00/76505; WO 00/76518; WO 02/46188, WO 02/ 46189; WO 02/46190; WO 02/46191; WO 02/46192; WO 02/46193; and WO 02/46194. 25 Many heterobifunctional cross-linkers are known and many are commercially available. See for example, Hermanson, G. (1996), Bioconjugate Techniques, Academic Press, Chapter 5 "Heterobifunctional Cross-Linkers", 229-285. The reaction generally can be carried out by combining a solution of the compound of Formula III in a suitable solvent such as N,N-dimethylformamide with a solution of the heterobifunctional cross-linker of Formula 11 WO 2004/032829 PCT/US2003/025523 IV in a suitable solvent such as N,N-dimethylformamide. The reaction may be run at ambient temperature. The product of Formula II may then be isolated using conventional techniques. In step (2) of Reaction Scheme I a compound of Formula II that contains reactive group ZA is reacted with the antigen to provide the immunostimulatory conjugate of Formula 5 I. The reaction generally can be carried out by combining a solution of the compound of Formula II in a suitable solvent such as dimethyl sulfoxide with a solution of the antigen in a suitable buffer such as PBS. The reaction may be run at ambient temperature or at a reduced temperature (-4 0 C). If ZA is a photoreactive group such as a phenyl azide then the reaction mixture will be exposed to long wave UV light for a length of time adequate to effect cross 10 linldking (e.g., 10 - 20 minutes). The average number of immune response modifier moieties per antigen moiety may be controlled by adjusting the amount of compound of Formula II used in the reaction. The immune response conjugate of Formula I may be isolated and purified using conventional techniques. Reaction Scheme I

NH

2 NH 2 N N (1) N N R N R2 + RB- ZA Rs -R RN N 3

R

4 RA

R

4 R I iv ZA (2) N\ N ( NH \>-R2 R N

R

4

R

1 Antigen n 15 12 WO 2004/032829 PCT/US2003/025523 Alternatively, a compound of Formula II may be synthesized without using a heterobifunctional cross-linker. So long as the compound of Formula II contains the reactive group ZA, it may be reacted with the antigen using the method of step (2) above to provide an immunostimulatory conjugate. 5 As used herein, the terms "alkyl", "alkenyl" and the prefix "alk-" include straight chain, branched chain, and cyclic groups, i.e. cycloalkyl and cycloalkenyl. Unless otherwise specified, these groups contain from 1 to 20 carbon atoms, with alkenyl groups containing from 2 to 20 carbon atoms. Preferred groups have a total of up to 10 carbon atoms. Cyclic groups can be monocyclic or polycyclic and preferably have from 3 to 10 ring carbon atoms. 10 Exemplary cyclic groups include cyclopropyl, cyclopentyl, cyclohexyl, cyclopropylmethyl, and adamantyl. The term "haloalkyl" is inclusive of groups that are substituted by one or more halogen atoms, including perfluorinated groups. This is also true of groups that include the prefix "halo-". Examples of suitable haloalkyl groups are chloromethyl, trifluoromethyl, and 15 the like. The term "aryl" as used herein includes carbocyclic aromatic rings or ring systems. Examples of aryl groups include phenyl, naphthyl, biphenyl, fluorenyl and indenyl. The term "heteroaryl" includes aromatic rings or ring systems that contain at least one ring hetero atom (e.g., O, S, N). Suitable heteroaryl groups include furyl, thienyl, pyridyl, quinolinyl, 20 isoquinolinyl, indolyl, isoindolyl, triazolyl, pyrrolyl, tetrazolyl, imidazolyl, pyrazolyl, oxazolyl, thiazolyl, benzofuranyl, benzothiophenyl, carbazolyl, benzoxazolyl, pyrimidinyl, benzimidazolyl, quinoxalinyl, benzothiazolyl, naphthyridinyl, isoxazolyl, isothiazolyl, purinyl, quinazolinyl, and so on. "Heterocyclyl" includes non-aromatic rings or ring systems that contain at least one 25 ring hetero atom (e.g., O, S, N) and includes all of the fully saturated and partially unsaturated derivatives of the above mentioned heteroaryl groups. Exemplary heterocyclic groups include pyrrolidinyl, tetrahydrofuranyl, morpholinyl, thiomorpholinyl, piperidinyl, piperazinyl, thiazolidinyl, isothiazolidinyl, and imidazolidinyl. The aryl, heteroaryl, and heterocyclyl groups can be unsubstituted or substituted by 30 one or more substituents independently selected from the group consisting of alkyl, alkoxy, 13 WO 2004/032829 PCT/US2003/025523 methylenedioxy, ethylenedioxy, alkylthio, haloalkyl, haloalkoxy, haloalkylthio, halogen, nitro, hydroxy, mercapto, cyano, carboxy, formyl, aryl, aryloxy, arylthio, arylalkoxy, arylalkylthio, heteroaryl, heteroaryloxy, heteroarylthio, heteroarylalkoxy, heteroarylalkylthio, amino, alkylamino, dialkylamino, heterocyclyl, heterocycloalkyl, alkylcarbonyl, 5 alkenylcarbonyl, alkoxycarbonyl, haloalkylcarbonyl, haloalkoxycarbonyl, alkylthiocarbonyl, arylcarbonyl, heteroarylcarbonyl, aryloxycarbonyl, heteroaryloxycarbonyl, arylthiocarbonyl, heteroarylthiocarbonyl, alkanoyloxy, alkanoylthio, alkanoylamino, arylcarbonyloxy, arylcarbonythio, alkylaminosulfonyl, alkylsulfonyl, arylsulfonyl, heteroarylsulfonyl, aryldiazinyl, alkylsulfonylamino, arylsulfonylamino, arylalkylsulfonylamino, 10 alkylcarbonylamino, alkenylcarbonylamino, arylcarbonylamino, arylalkylcarbonylamino, heteroarylcarbonylamino, heteroarylalkycarbonylamino, alkylsulfonylamino, alkenylsulfonylamino, arylsulfonylamino, arylalkylsulfonylamino, heteroarylsulfonylamino, heteroarylalkylsulfonylamino, alkylaminocarbonylamino, alkenylaminocarbonylamino, arylaminocarbonylamino, arylalkylaminocarbonylamino, heteroarylaminocarbonylamino, 15 heteroarylalkylaminocarbonylamino and, in the case of heterocyclyl, oxo. If other groups are described as being "substituted" or "optionally substituted", then those groups can also be substituted by one or more of the above-enumerated substituents. Certain substituents are generally preferred. For example, preferred R 2 groups include hydrogen, alkyl groups having 1 to 4 carbon atoms (i.e., methyl, ethyl, propyl, isopropyl, n 20 butyl, sec-butyl, isobutyl, tert-butyl, and cyclopropylmethyl), and alkoxyalkyl groups (e.g., methoxyethyl and ethoxymethyl). Preferably R 3 and R4 are independently hydrogen or methyl or R 3 and R 4 join together to form a benzene ring, a pyridine ring, a 6-membered saturated ring or a 6-membered saturated ring containing a nitrogen atom. One or more of these preferred substituents, if present, can be present in the compounds of the invention in 25 any combination. In some embodiments, the immunostimulatory conjugates may include a solid support structure to which both the antigenic portion and the IRM portion are attached. In some embodiments, the IRM portion, antigenic portion, or both may be covalently attached to the solid support using a linking group such as those described above. The solid support may 30 include, for example, agarose beads, gold particles, and the like. The solid support may then 14 WO 2004/032829 PCT/US2003/025523 be used to co-deliver the attached IRM portion and antigenic portion to the appropriate target cell population. Methods for attaching biomolecules to solid supports are known in the art. Protocols for immobilizing biomolecules on solid supports are well known in the art and suitable reagents are available from commercial sources. 5 Immunostimulatory compositions according to the present invention may contain chemical associations between the IRM portion and the antigenic portion other than covalent coupling. For example, an ISC may include an affinity interaction between the antigenic portion and the IRM portion. Avidin-biotin affinity represents one example of a non-covalent interaction that may be utilized to pair an antigenic portion with an IRM portion. A biotin 10 molecule may be chemically attached to an antigen via one of a number of functional groups present on amino acids in, for example, a proteinaceous antigen (e.g., primary amines or sulfhydryl groups). An IRM portion may be conjugated to an avidin molecule by similar chemical means. The IRM portion and the antigenic portion may then be paired by the avidin-biotin affinity interaction. Methods for biotinylating proteins and linking chemical 15 groups to avidin are well known to one of skill in the art. Alternative affinity interactions that may be useful for making ISCs include, for example, antigen/antibody interactions, glycoprotein/lectin interactions. Immunostimulatory compositions also may be formed by ionic interactions between an IRM portion and an antigenic portion. For example, an IRM portion, an antigenic portion, 20 or both, may be chemically modified to contain oppositely charged components. The oppositely charged IRM portion and antigenic portion may then be incubated together to allow for ionic interaction between the two entities. The resulting ISC may then be administered to a subject or a cell population, resulting in the co-delivery of both the IRM and the antigen to the target cells. 25 As in the case of covalently linked ISCs, ISCs in which the IRM portion and the antigenic portion are paired non-covalently can include a solid support. Methods of Eliciting Immune Responses Using Immunostimulatory Conjugates Immunostimulatory compositions according to the present invention may be used to 30 elicit immune responses from cells of the immune system in vitro or in vivo. Thus, an ISC 15 WO 2004/032829 PCT/US2003/025523 according to the present invention may be useful as a component of a vaccine or as an immunostimulatory factor used in in vitro cell culture of T cells or B cells. Indeed, IRMs may be more potent innunostimulatory factors when delivered as part of an ISC according to the present invention compared to being delivered as an unpaired vaccine adjuvant. When used 5 to elicit immune responses in vitro, the immune cells activated in vitro may be reintroduced into a patient. Alternatively, factors secreted by the activated immune cells, e.g., antibodies, cytokines, and the like, may be collected for investigative, diagnostic, and/or therapeutic uses. Unless otherwise noted, a host may be immunized subcutaneously or intraperitoneally. After a sufficient time to allow the host to generate an immune response to the ISC, immune 10 cells appropriate for the immunization site are harvested. For example, lymph nodes may be harvested from a host that had been immunized subcutaneously. Spleen cells may be harvested from a host immunized peritoneally. For some hosts, cell harvesting may include sacrificing the hosts. In other cases, cell harvesting may include a biopsy or surgical removal of an appropriate tissue. 15 In one embodiment, ISCs may be used to induce the proliferation of antigen-specific T cells. A host (e.g., a mouse) may be immunized with an ISC that includes a particular antigen. After sufficient incubation in the host, certain T cells (e.g., CD8 + T cells) will mature to antigen-specific T cells in response to the immunization. A greater percentage ofT cells will be antigen-specific in hosts immunized with ISCs compared to hosts immunized with 20 only antigen (Figs. 1-3). The ISC may be paired by covalently coupling the IRM portion and the antigenic portion (Figs. 1-3) or, alternatively, by a non-covalent pairing such as, for example, a colloidal suspension (Figs. 15-17). If the antigen is a protein (e.g., ovalbumin), it may not be necessary that the ISC include the entire protein. For example, an immunodominant peptide from the protein may be 25 all that is required to induce development of T cells specific to the full protein antigen. Moreover, a booster immunization, e.g., 15 days after the initial immunization, can augment the induction of antigen-specific T cells (Fig. 7). Immunization of a host with ISCs may be used to elicit an antigen-specific response in CD8 cytotoxic T lymphocytes (CTLs). Such a response may be directed against many 30 conditions including, but not limited to, tumors and virally-infected cell populations. ISCs 16 WO 2004/032829 PCT/US2003/025523 also may be administered prophylactically to provide a host with a protective CTL immunity directed against future tumors or viral infections. In another embodiment, ISCs may be used to induce cytokine production by antigen specific T cells in vitro. Appropriate tissue from an immunized host may be harvested and 5 cultured in vitro with antigen, thereby inducing production of one or more cytokines (e.g., IFN-y, see Fig. 4-6). Again, in cases where the antigen is a protein, an immunodominant peptide from the antigen protein may be all that is required to induce the antigen-specific T cells in cell culture to produce and secrete the cytokines. In another embodiment, ISCs may be used to inhibit tumor growth in vivo. Hosts 10 having tumor cells expressing a particular antigen may be immunized with ISCs that contain the antigen. In some embodiments, the initial immunization may be boosted with a second immunization. Tumors harvested from hosts immunized with ISC containing the antigen were generally smaller than the tumors harvested from hosts immunized with only the antigen (Fig. 8). Moreover, analysis of the tumors showed that tumors harvested from hosts 15 immunized with ISC contained a higher percentage of antigen-specific T cells that did tumors harvested from hosts immunized with only the antigen (Fig. 10). In yet another embodiment, ISCs may be used to induce antigen-presenting cells (APCs, e.g., dendritic cells) to present peptides from the antigen within MHC class I complexes at their cell surfaces. Hosts may be immunized intravenously to induce this type 20 of response. The response may be verified by harvesting and analyzing spleen cells for APCs presenting antigen/MHC class I complexes (Figs. 11-13). In an alternative embodiment, ISCs may be used to develop antigen-specific T cells in vitro. For example, bone marrow cells may be harvested from a patient having a tumor that expresses a particular antigen. The harvested cells may be cultured in vitro with an ISC 25 containing the antigen expressed by the tumor. Once again, if the antigen is a protein, the ISC may need only include an immunodominant peptide of the protein. Antigen-specific T cells that develop in vitro in response to incubation with the ISC may be reintroduced to the patient. In yet another alternative embodiment, an ISC may be administered to a subject 30 having a tumor to increase the likelihood, duration, or both, of survival. An ISC including a 17 WO 2004/032829 PCT/US2003/025523 tumor-specific antigenic portion administered to a mice challenged with melanoma cells provided increased survival compared to mice immunized with only tumor antigen (Fig. 14). Examples 5 The following examples have been selected merely to further illustrate features, advantages, and other details of the invention. It is to be expressly understood, however, that while the examples serve this purpose, the particular materials and amounts used as well as other conditions and details are not to be construed in a matter that would unduly limit the scope of this invention. 10 Preparation of IRM Compounds IRM Compound 1 (IRM1): N-[6-({2-[4-amino-2-(ethoxymethyl)-lH-imidazo[4,5 c]quinolin-1 -yl]- 1,1-dimethylethyl} amino)-6-oxohexyl]-4-azido-2-hydroxybenzamide

NH

2 N N N 0 N H N NN N HO 15 Part A A stirred solution of 4-chloro-3-nitroquinoline (17.3 g, 83.2 mmol) in 200 mL of anhydrous CH 2 C1 2 , under N 2 , was treated with triethylamine (23.2 mL, 166.4 mmol) and 1,2 diamino-2-methylpropane (9.57 mL, 91.5 mmol). After stirring overnight, the reaction 20 mixture was diluted with 800 mnL of CHC1 3 washed with H 2 0 (3 X 300 mL) and brine (300 mnL). The organic portion was dried over Na 2

SO

4 and concentrated to give 2-methyl-N 1 -(3 nitroquinolin-4-yl)propane-l,2-diamniine (21.0 g) as a bright yellow solid. 18 WO 2004/032829 PCT/US2003/025523 Part B A solution of 2-methyl-Nl-(3-nitroquinolin-4-yl)propane-1,2-diamine (2.60 g, 10.0 mmol) in 50 mL of tetrahydrofuran (THF), under N 2 , was cooled to 0 0 C and treated with 10 mL of 1N NaOH solution. Di-tert-butyl dicarbonate (2.18 g, 10.0 mmol) was then added to 5 the rapidly stirred solution. The reaction mixture was then allowed to warm to ambient temperature and was stirred overnight. An additional 400 mg of di-tert-butyl dicarbonate was added and stirring was continued for 3 days. The reaction was then treated with ethyl acetate (200 mL) and washed with H 2 0 (2X) and brine. The organic portion was dried over Na 2

SO

4 and concentrated to give a yellow solid that was triturated with 10% EtOAc/hexanes. The 10 solid was isolated by filtration and dried under vacuum overnight to give tert-butyl 1,1 dimethyl-2-[(3-nitroquinolin-4-yl)amino]ethylcarbamate (2.80 g) as a yellow powder. Part C A solution of tert-butyl 1,1-dimethyl-2-[(3-nitroquinolin-4-yl)amino]ethylcarbamate 15 (3.50 g, 9.72 mmol), in 150 mL of toluene was treated with 0.3 g of 5% Pt on carbon and shaken under H 2 (3 atm, 3 Kg/cm 2 ) for 6 hours. The solution was then filtered through a Celite pad and concentrated to give 3.04 g of crude tert-butyl 2-[(3-aminoquinolin-4-yl]-l,1 dimethylethylcarbamate as a light orange foam. 20 Part D A solution of tert-butyl 2-[(3-aminoquinolin-4-yl]-1,1-dimethylethylcarbamate (3.04 g, 9.21 mmol) in 50 mL of CH 2 C1 2 was cooled to 0 0 C and treated with triethylamine (1.41 mL, 10.13 mmol) and ethoxyacetyl chloride (1.02 mL, 10.17 nmmol). After 2 hours, the reaction mixture was concentrated under reduced pressure. The resulting syrup was taken up 25 in 100 mL of EtOH and treated with 4.5 mL of triethylamine. The solution was heated to reflux overnight. The reaction mixture was concentrated and taken up in 100 mL of CH 2 C1 2 and washed with H 2 0 (2X) and brine. The organic portion was dried over Na 2

SO

4 and concentrated. The resulting syrup was purified by column chromatography (SiO 2 , 80% EtOAc/hexanes) to give tert-butyl 2-[2-(ethoxymethy)-lH-imidazo[4,5-c]quinolin-1-yl]-1,1 30 dimethylethylcarbamate (1.57 g) as a peach colored foam. 19 WO 2004/032829 PCT/US2003/025523 Part E A solution of tert-butyl 2-[2-(ethoxymethy)-1H-imidazo[4,5-c]quinolin-1-yl]-1, 1 dimethylethylcarbamate (1.57 g, 3.94 mmol) in 30 mL of CH 2 C1 2 was treated with 3 5 chloroperoxybenzoic acid (77%, 1.01 g, 4.57 mmol). After stirring for 2 hours, the reaction mixture was treated with 30 mL of additional CH 2

C

2 and was washed with 1% Na 2

CO

3 solution (2 X 30 miL), H 2 0 and brine. The organic portion was then dried over Na 2

SO

4 and concentrated to give tert-butyl 2-[2-(2-(ethoxymethyl)-5-oxido-lH-imidazo[4,5-c]quinolin-1 yl]-l,1-dimethylethylcarbamate (1.58 g) as a light brown foam. 10 Part F A solution of tert-butyl 2-[2-(2-(ethoxymethyl)-5-oxido- 1H-imidazo[4,5-c]quinolin-1 yl]-1,1-dimethylethylcarbamate (1.57 g, 3.79 mmol) in 20 mL of 1,2-dichloroethane was heated to 70 oC and treated with 2 mL of concentrated NH- 4 0H solution. To the rapidly 15 stirred solution was added solid p-toluenesulfonyl chloride (795 mg, 4.17 mmol). The reaction mixture was then sealed in a pressure vessel and heating was continued for 2 hours. The reaction mixture was then cooled and treated with 50 mL of CHC1 3 . The reaction mixture was then washed with H 2 0, 1% Na 2

CO

3 solution (3X) and brine. The organic portion was dried over Na 2

SO

4 and concentrated to give the product as a light brown oil. The resulting oil 20 was purified by column chromatography (SiO 2 , 2-5% MeOH/CHC1 3 ) to give tert-butyl 2-[4 amino-2-(ethoxymethyl)- 1H-imidazo[4,5-c]quinolin-1-yl]-1,1-dimethylethylcarbamate (1.26 g) as a light yellow foam. Part G 25 Tert-butyl 2-[4-amino-2-(ethoxymethyl)- 1H-imidazo[4,5-c]quinolin-1-yl]- 1,1 dimethylethylcarbamate (1.26 g, 3.05 nmol) was dissolved in 10 mL of EtOH and treated with 10 mL of 2 M HC1 in EtOH. After heating at reflux for 2 hours, the reaction mixture was cooled and concentrated under reduced pressure. The resulting yellow solid was dissolved in 50 mL of H 2 0 and extracted with CHCl 3 (20 mL). The organic layer was 30 discarded and the aqueous portion was made basic (pH - 12) by addition of concentrated 20 WO 2004/032829 PCT/US2003/025523

NH

4 OH solution. This was then extracted with CHC1 3 (4 x 20 mL) and the combined organic portions were dried with Na 2

SO

4 and concentrated to give 1-(2-amino-2-methylpropyl)-2 (ethoxymethyl)-1H-imidazo[4,5-c]quinoline-4-amine (808 mg) as a light brown powder. m. p. 161.0-162.0 'C; 5 MS mn/z 314 (M + H); 1 H NMR (300 MHz, d 6 -DMSO) 6 8.30 (d, J= 7.7 Hz, 1H), 7.59 (dd, J= 1.2, 8.3 Hz, 1H), 7.40 (ddd, J= 1.0, 7.2, 8.1 Hz, 1H), 7.21 (ddd, J = 1.2, 7.0, 8.2 Hz, 1H), 6.57 (s, 2H), 4.94 (br s, 2H), 4.61 (br s, 2H), 3.52 (q, J = 7.0 Hz, 2H), 1.61 (s, 2H), 1.31 (t, J = 7.0 Hz, 3H), 1.07 (s, 6H); 10 13C NMR (75 MHz, d 6 -DMSO) 6 152.4, 151.1, 145.7, 134.3, 126.8, 126.7, 121.7, 120.8, 115.7, 65.6, 65.2, 55.8, 52.5, 29.2, 15.4. Anal. Calcd for C 17

H

23

N

5 0: %C, 65.15; %H, 7.40; %N, 22.35. Found: %C, 65.04; %H, 7.52; %N, 22.07. 15 Part H Under a nitrogen atmosphere, a solution of N-hydroxysulfosuccinimidyl (azidosalicylamido)hexanoate (100 mg, 0.204 mmol of Sulfo-LC-NHS-ASA from Pierce Biotechnology, Inc, Rockford, IL, USA) in N,N-dimethylformamide DMF, (2-4 mL) was added to a solution of 1-(2-amino-2-minethylpropyl)-2-(ethoxymethyl)-lH-imidazo[4,5 20 c]quinoline-4-amine (63 mg, 0.201 mmol) in DMF (5 mL). The reaction mixture was stirred under nitrogen in a foil wrapped vessel. After 2 days an additional 50 ng of N hydroxysulfosuccinimidyl (azidosalicylamido)hexanoate was added. After about a week the reaction mixture was concentrated under reduced pressure at 55'C. The residue was partitioned between dichloromethane containing a small amount of methanol and water. The 25 organic layer was separated and concentrated under reduced pressure. The residue was purified by flash chromatography (2 X 15 cm SiO 2 eluting with 6% methanol in chloroform) to provide 53 mng of product as a colorless glass. The glass was transferred using dichloromethane to a conical flask and then concentrated to provide a foam. The foam was dried overnight under high vacuum to provide 48 mg of a white crystalline solid. Analysis by 21 WO 2004/032829 PCT/US2003/025523 NMR indicated the presence of dichloromethane so the material was dried overnight under high vacuum and then in a vacuum oven at 50'C for 5 hours. Analysis by HPLC indicated a purity of >93%. 5 IRM Compound 2 (IRM2): N- {6-[(2-{2-[4-amino-2-(2-methoxyethyl)-lH imidazo[4,5-c]quinolin-1-yl]ethoxy}ethyl)amino]-6-oxohexyl} -4-azido-2-hydroxybenzamide

NH

2 N~N N N HO N 0 0 HI N N "N H Part A 10 A solution of 2-(2-aminoethoxy)ethanol (29.0 g, 0.276 mol) in 180 mL of tetrahydrofuran (THF), under N 2 , was cooled to 0oC and treated with 140 mL of 2N NaOH solution. A solution of di-tert-butyl dicarbonate (60.2 g, 0.276 mol) in 180 mL of THF was then added dropwise over 1 h to the rapidly stirred solution. The reaction mixture was then allowed to warm to room temperature and was stirred an additional 18 hours. The THF was 15 then removed under reduced pressure and the remaining aqueous slurry was brought to pH 3 by addition of 150 mL of 1M H 2

SO

4 solution. This was then extracted with ethyl acetate (300 mL, 100 mL) and the combined organic layers were washed with H 2 0 (2X) and brine. The organic portion was dried over Na 2

SO

4 and concentrated to give tert-butyl 2-(2 hydroxyethoxy)ethylcarbamate as a colorless oil (47.1 g). 20 Part B A rapidly stirred solution of tert-butyl 2-(2-hydroxyethoxy)ethylcarbamate (47.1 g, 0.230 mol) in 1 L of anhydrous CH 2

C

2 was cooled to 0OC under N 2 and treated with triethylamine (48.0 mL, 0.345 mol). Methanesulfonyl chloride (19.6 mL, 0.253 mol) was 22 WO 2004/032829 PCT/US2003/025523 then added dropwise over 30 min. The reaction mixture was then allowed to warm to room temperature and was stirred an additional 22 hours. The reaction was quenched by addition of 500 mL saturated NaHCO 3 solution and the organic layer was separated. The organic phase was then washed with H20 (3 X 500 mL) and brine. The organic portion was dried over 5 Na 2

SO

4 and concentrated to give 2- { 2 -[(tert-butoxycarbonyl)amino]ethoxy} ethyl methanesulfonate as a brown oil (63.5 g). Part C A stirred solution of 2- {2-[(tert-butoxycarbonyl)amino]ethoxy} ethyl 10 methanesulfonate (63.5 g, 0.224 mol) in 400 mL ofN,N-dimethylformamide (DMF) was treated with NaN 3 (16.1 g, 0.247 mol) and the reaction mixture was heated to 90'C under N 2 . After 5 hours, the solution was cooled to room temperature and treated with 500 mL of cold HO20. The reaction mixture was then extracted with Et 9 O20 (3 X 300 mL). The combined organic extracts were washed with H20 (4 X 100 mL) and brine (2 X 100 mL). The organic 15 portion was dried over MgSO 4 and concentrated to give 52.0 g of tert-butyl 2-(2 azidoethoxy)ethylcarbamate as a light brown oil. Part D A solution of tert-butyl 2-(2-azidoethoxy)ethylcarbamate (47.0 g, 0.204 mol) in 20 MeOH was treated with 4 g of 10% Pd on carbon and shaken under H 2 (3 Kg/cm 2 ) for 24 hours. The solution was then filtered through a Celite pad and concentrated to give 35.3 g of crude tert-butyl 2-(2-aminoethoxy)ethylcarbamate as a colorless liquid that was used without further purification. 25 Part E A stirred solution of 4-chloro-3-nitroquinoline (31.4 g, 0.151 mol) in 500 mL of anhydrous CH 2 Cl 2 , under N 2 , was treated with triethylamine (43 mniL, 0.308 mol) and tert butyl 2-(2-aminoethoxy)ethylcarbamate (0.151 mol). After stirring overnight, the reaction mixture was washed with H20 (2 X 300 mL) and brine (300 mL). The organic portion was 30 dried over Na 2

SO

4 and concentrated to give a bright yellow solid. Recrystallization from 23 WO 2004/032829 PCT/US2003/025523 ethyl acetate/hexanes gave 43.6 g of tert-butyl 2-{2-[(3-nitroquinolin-4 yl)amino]ethoxy} ethylcarbamate as bright yellow crystals. Part F 5 A solution of tert-butyl 2- {2-[(3-nitroquinolin-4-yl)amino]ethoxy}ethylcarbamate (7.52 g, 20.0 mrnol) in toluene was treated with 1.5 g of 5% Pt on carbon and shaken under H2 (3 Kg/cm 2 ) for 24 hours. The solution was then filtered through a Celite pad and concentrated to give 6.92 g of crude tert-butyl 2- {2-[(3-aminoquinolin-4-yl)anino]ethoxy}ethylcarbamate as a yellow syrup. 10 Part G A solution of tert-butyl 2- {2-[(3-aminoquinolin-4-yl)amino]ethoxy} ethylcarbamate (10.2 g, 29.5 mmol) in 250 mL of anhydrous CH 2

G

2 was cooled to 0 0 C and treated with triethylamine (4.18 mL, 30.0 mmol). Methoxypropionyl chloride (3.30 mL, 30.3 mmol) was 15 then added dropwise over 5 min. The reaction was then warmed to room temperature and stirring was continued for 1 hour. The reaction mixture was then concentrated under reduced pressure to give an orange solid. This was dissolved in 250 mL of EtOH and 12.5 mL of triethylamine was added. The mixture was heated to reflux and stirred under N 2 overnight. The reaction was then concentrated to dryness under reduced pressure and treated with 300 20 mL of Et 2 0. The mixture was then filtered and the filtrate was concentrated under reduced pressure to give a brown solid. The solid was dissolved in 200 mniL of hot methanol and treated with activated charcoal. The hot solution was filtered and concentrated to give 11.1 g of tert-butyl 2- {2-[2-(2-methoxyethyl)- 1H-imidazo[4,5-c]quinolin- 1 yl]ethoxy}ethylcarbamate as a yellow syrup. 25 Part H A solution of tert-butyl 2- {2-[2-(2-methoxyethyl)- 1H-imidazo[4,5-c]quinolin- 1 yl]ethoxy} ethylcarbamate (10.22 g, 24.7 mmol) in 250 mL of CHC1 3 was treated with 3 chloroperbenozic acid (77%, 9.12 g, 40.8 mnmol). After stirring 30 minutes, the reaction 30 mixture was washed with 1% Na 2

CO

3 solution (2 X 75 mL) and brine. The organic layer was 24 WO 2004/032829 PCT/US2003/025523 then dried over Na 2

SO

4 and concentrated to give 10.6 g of tert-butyl 2- {2-[2-(2 methoxyethyl)-5-oxido-l1H-imidazo[4,5-c]quinolin-1-yl]ethoxy}ethylcarbamate as an orange foam that was used without further purification. 5 Part I A solution of tert-butyl 2- {2-[2-(2-methoxyethyl)-5-oxido- 1H-inidazo[4,5-c]quinolin 1-yl]ethoxy}ethylcarbamate (10.6 g, 24.6 nunol) in 100 mL of 1,2-dichloroethane was heated to 60 0 C and treated with 10 mL of concentrated NH 4 OH solution. To the rapidly stirred solution was added solid p-toluenesulfonyl chloride (7.05 g, 37.0 mmol) over a 10 minute 10 period. The reaction mixture was treated with an additional 1 mL concentrated NH 4 OH solution and then sealed in a pressure vessel and heating was continued for 2 hours. The reaction mixture was then cooled and treated with 100 mL of CHC1 3 . The reaction mixture was then washed with H20O, 1% Na 2

CO

3 solution (2X) and brine. The organic portion was dried over Na 2

SO

4 and concentrated to give 10.6 g of tert-butyl 2- {2-[4-amino-2-(2 15 methoxyethyl)-1H-imidazo[4,5-c]quinolin-1 -yl]ethoxy}ethylcarbamate as a brown foam. Part J Tert-butyl 2-{2-[4-amino-2-(2-methoxyethyl)-l1H-imidazo[4,5-c]quinolin-1 yl]ethoxy}ethylcarbamate (10.6 g, 24.6 mmol) was treated with 75 mL of 2M HCI in ethanol 20 and the mixture was heated to reflux with stirring. After 1.5 hours, the reaction mixture was cooled and filtered to give a gummy solid. The solid was washed ethanol and Et 2 0 and dried under vacuum to give the hydrochloride salt as a light brown solid. The free base was made by dissolving the hydrochloride salt in 50 mL of H20 and treating with 10% NaOH solution. The aqueous suspension was then concentrated to dryness and the residue was treated with 25 CHC1 3 . The resulting salts were removed by filtration and the filtrate was concentrated to give 3.82 g of 1-[2-(2-aminoethoxy)ethyl]-2-(2-methoxyethyl)-lH-imidazo[4,5-c]quinolin-4 amine as a tan powder. 25 WO 2004/032829 PCT/US2003/025523 MS 330 (M + H) 'H NMR (300 MHz, DMSO-d 6 ) 5 8.10 (d, J = 8.1 Hz, 1 H); 7.66 (d, J = 8.2 Hz, 1 H); 7.40 (m, 1 H); 7.25 (m, 1 H); 6.88 (br s, 2 H); 4.78 (t, J = 5.4 Hz, 2 H); 3.89 (t, J = 4.8 Hz, 2 H); 3.84 (t, J= 6.9 Hz, 2 H); 3.54 (t, J = 5.4 Hz, 2 H); 3.31 (s, 3 H); 3.23 (t, J= 6.6 Hz, 2 H); 5 2.88 (t, J= 5.3 Hz, 2 H). Part K Under a nitrogen atmosphere, a solution of N-hydroxysulfosuccinimidyl (azidosalicylamido)hexanoate (100 mg, 0.204 mmol of Sulfo-LC-NHS-ASA from Pierce 10 Biotechnology, Inc, Rockford, IL, USA) in DMF (2 - 4 mL) was added to a solution of 1-[2 (2-aminoethoxy)ethyl]-2-(2-methoxyethyl)- 1H-imidazo [4,5-c]quinolin-4-amine (66 mg, 0.201 mmol) in DMF (5 mL). After 3.5 hours analysis by HPLC showed that no starting material was present. The reaction mixture was stirred overnight and then concentrated under reduced pressure. The residue was purified by flash chromatography (2 X 15 cm SiO 2 eluting 15 with 8% methanol in chloroform) to provide 55 mg of product as a colorless glass. The glass was transferred using dichloromethane to a conical flask and then concentrated to provide a foam. The foam was dried overnight under high vacuum and then in a vacuum oven at 50 0 C for 5 hours to provide 45 mg of product as a white fluffy solid. Analysis by HPLC indicated a purity of >95%. 20 IRM Compound 3 (IRM3): N-(2- {2-[4-amino-2-(2-methoxyethyl)-lH-imidazo[4,5 c]quinolin-1-yl ] ethoxy} ethyl)hexadecanamide 26 WO 2004/032829 PCT/US2003/025523

NH

2 N" N O N O H N Under a nitrogen atmosphere, a suspension of 1-[2-(2-aminoethoxy)ethyl]-2-(2 methoxyethyl)-1H-imidazo[4,5-c]quinolin-4-amine (140.5 mg, 0.428 mmol) in a mixture of 5 dichloromethane (3.5 mL) and triethylamine (150 tL, 1.07 mmol) was cooled to 0 'C. Palmitoyl chloride (130 gL, 0.428 mmol) was slowly added. The reaction mixture was allowed to stir at 0 oC for 2 hours at which time analysis by thin layer chromatography indicated that there was no starting material left. The reaction mixture was diluted with dichloromethane (30 mL), washed with saturated sodium bicarbonate solution (2 x 5 mL), 10 dried over magnesium sulfate and then concentrated under reduced pressure. The resulting residue was purified by column chromatography (12 g of silica gel eluted with 2% methanol in dichloromethane) to provide 183 mg of N-(2-{2-[4-amino-2-(2-methoxyethyl)-1H imidazo[4,5-c]quinolin-1-yl]ethoxy} ethyl)hexadecanamide as a white powder. Anal. Calcd for C 3 3

H

53

N

5 0 3 : %C, 69.80; %H, 9.41; %N, 12.33; Found: %C, 69.60; %H, 15 9.28; %N, 11.99. Example 1: Crosslinldking of Irmnune Response Modifier to Ovalbumin IRM1 was suspended in dimethyl sulfoxide (DMSO) to 10 mg/ml. Ovalbumin was suspended in phosphate buffered saline (PBS) to 10 mg/ml and the pH adjusted to > 10.0 by 20 the addition of NaOH. 500 pil of the ovalbumin solution (5 mg ovalbumin) was mixed with 100 p1 of the IRM1 solution (1 mg IRM1) in a single well of a 12-well tissue culture plate. 27 WO 2004/032829 PCT/US2003/025523 The plate was placed on ice and a long wavelength UV light source was placed directly over the plate as close to the well containing the IRM1/ovalbumin mixture as possible. The mixture was irradiated for 15 minutes. The resulting conjugate was removed from the well and resuspended in PBS to a final concentration of 5 mg/mnil ovalbumin, 0.5 mg/ml IRM1, and 5 dialyzed against PBS to remove any unconjugated IRM. Example 2: Immunizations C57BL/6 mice were immunized with conjugate (1 mg ovalbumin and 200 pg IRM1, prepared as in Example 1) in 200 pl PBS either subcutaneously or intraperitoneally. Control 10 mice were immunized with 1 mg ovalbumin in 200 pl PBS. For analysis of primary responses, mice were sacrificed 5-7 days after immunization. For analysis of secondary responses, the mice were boosted 7-15 days after the initial immunization and sacrificed 5-7 days later. Unless otherwise indicated, lymph nodes were harvested from mice immunized subcutaneously for analysis and spleen cells were harvested from mice immunized 15 intraperitoneally for analysis. Example 3: Reagents Fluorochrome-labeled antibodies specific for mouse CD8, CD1 ic, and CD44 were obtained from Pharnmiingen (San Diego, CA). The monoclonal antibody 25D1.16 (Dr. Ron 20 Germain, NIH) is specific for the dominant ovalbumin peptide (SIINFEKL) bound to the MHC class I molecule H-2Kb. Porgador et al., Immunity 6:715-26. Ovalbumin was obtained from Sigma Chemical Company (St. Louis, MO). Tetramers of the MHC class I molecule H 2 Kb bound to the dominant ovalbumin peptide SIINFEKL were produced as described in Kedl et al., JExp Med, 192:1105-13 (2000). The ovalbumin-expressing melanoma cell line 25 Bl6ova was made by lipofection of the B16-F10 cell line (ATCC # CRL-6475) with a plasmid encoding full-length ovalbumin. See Kedl et al., Proc. Natl. Acad. Sci. USA, 98:10811-6. Cytoldkine capture and detection reagents were from Miltyeni Biotech (Auburn, CA). 28 WO 2004/032829 PCT/US2003/025523 Example 4 Experimental mice were immunized with conjugate as prepared in Example 1 either subcutaneously or intraperitoneally as described in Example 2. Control mice were immunized with ovalbumnin as described in Example 2. Seven days later, lymph nodes or spleen were 5 removed and the cells were stained with antibodies specific for CD8, CD44, and H 2Kb/SIINFEKL tetramers and analyzed by flow cytometry. The results are shown in Figures 1-3. The cells that stain positively for all three markers identify activated, ovalbumin-specific CD8 + T cells that developed as a result of the immunization. Each of Figures 1-3 includes the percentage of all CD8 T cells examined that were 10 identified as activated, ovalbumin-specific CD8 + T cells. In the control mice, 0.07% of CD8 + T cells were activated, ovalbumin-specific CD8 + T cells. Subcutaneous immunization with conjugate generated 0.52% activated, ovalbumin-specific CD8 + T cells. Intraperitoneal immunization with conjugate generated 0.92% activated, ovalbumin-specific CD8, T cells. Immunization with the dominant ovalbumin peptide (SIINFEKL) conjugated to IRM1 15 (100 ptg peptide crosslinked to 200 gg IRM1) also induced the activation of ovalbumin specific CD8 + T cells. Example 5 Control mice were immunized with ovalbumin as described in Example 2. 20 Experimental mice were immunized with conjugate as prepared in Example 1 either subcutaneously or intraperitoneally as described in Example 2. Appropriate immune cells were harvested seven days after immunization and incubated in vitro for four hours with SIINFEKL peptide. Interferon gamma (IFN-y)-producing CD8 + T cells were identified using an IFN-y capture and detection assay coupled with flow cytometry. CD8 + T cells that were 25 generated by immunizing with the IRMl1-ovalbumin conjugate produced IFN-y in response to subsequent antigen stimulation (Figures 4-6). Example 6 29 WO 2004/032829 PCT/US2003/025523 Mice were immunized with conjugate as prepared in Example 1 as described in Example 2 and then boosted with an equal amount of conjugate on day 15. The spleen and lymph node cells from the boosted animals were analyzed seven days after boosting. Analysis showed an increased percentage of activated ovalbumin-specific CD8 + T cells over 5 those from mice that had received only the primary immunization (Figure 7). Example 7 Mice were injected intradermally with the ovalbumin-expressing melanoma cell line B16ova (1 x 105 cells). On day 7, the mice were injected subcutaneously with either 1 mg 10 ovalbumin (control) or with conjugate as prepared in Example 1. On Day 14, the mice were boosted subcutaneously with ovalbumin or conjugate as on Day 7. On Day 20, tumor size was measured with calipers in two dimensions. Immunization with the conjugate resulted in reduced tumor size as compared to the control (Figure 8). 15 Example 8 Mice were injected intradermally with the ovalbumin-expressing melanoma cell line B l6ova (1 x 105 cells). Seven and 14 days later, the mice were injected intraperitoneally with either 1 mg ovalbumin (control) or with conjugate as prepared in Example 1. Twenty days after challenge with the melanoma cell line, spleens and tumors were removed and the cells 20 from each source were stained with antibodies specific for CD8 and CD44 as well as H 2Kb/SIINFEKL tetramers. Flow cytometric analysis revealed a significant expansion of activated ovalbumnin-specific CD8 + T cells both in the spleen (Figure 9) and within the tumor (Figure 10). 25 Example 9 Mice were immunized intravenously with ovalbumin, ovalbumin and unpaired IRM1: 1-(2-amino-2-methylpropyl)-2-(ethoxymethyl)-lH-imidazo[4,5-c]quinoline-4-anmine (IRM1 prior to attachment of the linker group - the product of Part G of the synthesis of IRM1), or with conjugate as prepared in Example 1. Fourteen hours later, the spleens were removed, 30 collagenase treated, and the cells were stained with antibodies specific for CD8, CD11 c, and 30 WO 2004/032829 PCT/US2003/025523 the antibody 25D1.16, which is specific for the ovalbumin peptide SIINFEKL complexed with the MHC class I H-2Kb molecule. Flow cytometric analysis indicated that immunizing mice with the IRMI -ovalbumin conjugate(Figure 13) generated a greater percentage of CD1 lc

+

, CD8 + dendritic cells that were presenting Kb/SIINFEKL than immunizing mice with 5 ovalbumin alone (Figure 11) or a mixture of unpaired ovalbumin and IRM1 (Figure 12). Example 10 Mice were immunized on Day 0 subcutaneously as described in Example 2 with ovalbumin (control) or with IRM1 conjugate as prepared in Example 1. The mice received 10 boost immunizations on Day 14. The mice were then challenged intradermally with the ovalbumin-expressing melanoma cell line Bl6ova (1 x 105 cells) on Day 28 and monitored for tumor growth. At Day 75, 80% of the mice immunized with conjugate survived and appeared healthy, while all of the mice immunized with only ovalbumin died (Fig 14). 15 Example 11 A stock solution of IRM3 was prepared by dissolving IRM3 in DMSO to a concentration of 10 mg/ml. Ovalbumin was dissolved in PBS to a concentration of 50 mg/ml. 50 ptl of the IRM3 stock solution was added to 150 gl of PBS and then mixed by vortexing. 50 p1l of the ovalbumin was added to the IRM3 solution and mixed by vortexing. A cloudy 20 colloidal suspension of IRM3 and ovalbumin resulted. Mice were immunized on Day 0 subcutaneously as described in Example 2 with either (a) ovalbumin alone, or (b) 50 gl of the colloidal suspension of ovalbumin and IRM3. On Day 6, draining lymph nodes were removed, homogenized, and stained with the H 2Kb/SIINFEKL tetramer to identify ovalbumin-specific T cells. Figure 15 shows flow 25 cytometry data from a control mouse immunized with ovalbumin alone; Figures 16 and 17 show data from two different mice that were immunized with the colloidal suspension. Example 12 A conjugate of IRM2 and ovalbumin was prepared as described in Example 1, except 30 that IRM2 was used in place of IRM1. 31 WO 2004/032829 PCT/US2003/025523 Twenty-four mice were divided into eight groups of three. Four groups of three mice were immunized subcutaneously as described in Example 2 at Day 0, with each group receiving increasing amounts of IRM1-ovalbumin conjugate. The remaining four groups were similarly immunized at Day 0 with the IRM2-ovalbumin conjugate. At day 6, the mice 5 were sacrificed and draining lymph nodes were removed and stained with the H 2Kb/SIINFEKL tetramer to identify ovalbumin-specific T cells. The percentage of ovalbumin-specific T cells was calculated for each mouse. Figure 18 summarizes the results. Example 13 10 Mice were adoptively transferred with approximately 2x10 6 OT1 ovalbumin-specific transgenic T cells (The Jackson Laboratory, Bar Harbor, Maine). Mice were immunized on Day 0 subcutaneously as described in Example 2 with either (a) 100 gg ovalbumin, (b) 100 gg ovalbumin + 50 jig CpG (Ova + CpG), (c) 100 gg ovalbumin + 50 gg unpaired IRM1 (Ova + IRM), or (d) 100 gg ovalbumin conjugated to 50 gg IRMI (Ova x IRM). On Day 5, draining 15 lymph nods were removed and the cells were stained with the H-2Kb/SI1NFEKL tetramer to identify ovalbumin-specific T cells. Figure 19 shows the fold expansion of ovalbumin specific T cells in the Ova + CpG, Ova + IRM, and Ova x IRM groups over the mice immunized with ovalbumin alone. The complete disclosures of the patents, patent documents and publications cited 20 herein are incorporated by reference in their entirety as if each were individually incorporated. In case of conflict, the present specification, including definitions, shall control. Various modifications and alterations to this invention will become apparent to those skilled in the art without departing from the scope and spirit of this invention. Illustrative embodiments and examples are provided as examples only and are not intended to limit the 25 scope of the present invention. The scope of the invention is limited only by the claims set forth as follows. 32

Claims

1. An immunostimulatory composition comprising: an immune response modifier portion paired with an antigenic portion.. 5

2. The immunostimulatory composition of claim 1 wherein the immune response modifier portion is an agonist of Toll-like receptor 2, Toll-like receptor 4, Toll-like receptor 6, Toll-like receptor 7, or Toll-like receptor 8.

3. The immunostimulatory composition of claim 1 wherein the immune response 10 modifier portion comprises an imidazoquinoline amine; a tetrahydroimnidazoquinoline amine; an imidazopyridine amine; an aryl ether-substituted imidazopyridine amine; a 1,2-bridged imidazoquinoline amine; a 6,7-fused cycloalkylimidazopyridine amine; an imidazonaphthyridine amine; a tetrahydroimidazonaphthyridine amine; an oxazoloquinoline amine; a thiazoloquinoline amine; an oxazolopyridine amine; a thiazolopyridine amine; an 15 oxazolonaphthyridine amine; or a thiazolonaphthyridine amine.

4. The immunostimulatory composition of claim 1 wherein the immune response modifier portion comprises an organic moiety having a molecular weight of less than about 1000 Daltons. 20

5. The immunostimulatory composition of claim 1 wherein immune response modifier portion and the antigenic portion are covalently coupled.

6. The immunostimulatory composition of claim 1 wherein the immune response 25 modifier portion and the antigenic portion are paired by a physical or chemical association other than covalent coupling that limits independent diffusion of the immune response modifier portion with respect to the antigenic portion. 33 WO 2004/032829 PCT/US2003/025523

7. The immunostimulatory composition of claim 1 wherein the composition comprises a colloidal suspension.

8. The immunostimulatory composition of claim 1 wherein the antigenic portion 5 comprises an amino acid sequence, a nucleotide sequence, a lipopolysaccharide, a prion, a bacterium, a virus, or a fungus.

9. The immunostimulatory composition of claim 8 wherein the amino acid sequence is a polypeptide. 10

10. The immunostimulatory composition of claim 9 wherein the polypeptide is a protein.

11. The immunostimnulatory composition of claim 1 wherein the immune response modifier portion is a compound of the formula: 15 NH 2 N- N R 3 1 R 4 R wherein: R 1 is a linker group; 20 R 2 is selected from the group consisting of: -hydrogen; -alkyl; -alkenyl; -aryl; 25 -substituted aryl; -heteroaryl; 34 WO 2004/032829 PCT/US2003/025523 -substituted heteroaryl; -alkyl-O-alkyl; -alkyl-S-alkyl; -alkyl-O-aryl; 5 -alkyl-S-aryl: -alkyl-O- alkenyl; -alkyl-S- alkenyl; and -alkyl or alkenyl substituted by one or more substituents selected from the group consisting of: 10 -OH; -halogen; -N(Rs)2; -CO-N(Rs)2; -CS-N(Rs)2; 15 -S02-N(Rs)2; -NRs-CO-C 1 1 0 alkyl; -NRs-CS-C 1 . 10 alkyl; -NRs- SO 2 -CI- 1 0 alkyl; -CO-C1- 1 0 alkyl; 20 -CO-O-Cl-o 10 alkyl; -N 3 ; -aryl; -substituted aryl; -heteroaryl; 25 -substituted heteroaryl; -heterocyclyl; -substituted heterocyclyl; -CO-aryl; -CO-(substituted aryl); 30 -CO-heteroaryl; and 35 WO 2004/032829 PCT/US2003/025523 -CO-(substituted heteroaryl); R 3 and R 4 are each independently: -hydrogen; -halogen; 5 -alkyl; -alkenyl; -O-alkyl; -S-alkyl; and -N(Rs)2; 10 or when taken together, R 3 and R 4 form a fused aryl or heteroaryl group that is optionally substituted by one or more substituents selected from the group consisting of; -halogen; -alkyl; 15 -alkenyl; -O-alkyl; -S-alkyl; and -N(Rs)2; or when taken together, R 3 and R 4 form a fused 5 to 7 membered saturated 20 ring, optionally containing one or more heteroatoms and optionally substituted by one or more substituents selected from the group consisting of; -halogen; -alkyl; -alkenyl; 25 -O-alkyl; -S-alkyl; and -N(Rs) 2 ; and each Rs is independently hydrogen or C1- 1 0 alkyl. 30

12. An immunostimulatory conjugate of the formula: 36 WO 2004/032829 PCT/US2003/025523 NH2 NN RN R4 R, 4 n Antigen n wherein: 5 R is a linker group; R 2 is selected from the group consisting of: -hydrogen; -alkyl; -alkenyl; 10 -aryl; -substituted aryl; -heteroaryl; -substituted heteroaryl; -alkyl-O-alkyl; 15 -alkyl-S-alkyl; -alkyl-O-aryl; -alkyl-S-aryl: -alkyl-O- alkenyl; -alkyl-S- alkenyl; and 20 -alkyl or alkenyl substituted by one or more substituents selected from the group consisting of: -OH; -halogen; -N(Rs)2; 25 -CO-N(Rs) 2 ; -CS-N(Rs)2; 37 WO 2004/032829 PCT/US2003/025523 -SO 2 -N(Rs) 2 ; -NRs-CO-CI-o 10 alkyl; -NRs-CS-Ci. 10 o alkyl; -NR 5 - S0 2 -C1- 10 alkyl; 5 -CO-CI- 1 0 alkyl; -CO-O-C 1 - 1 0 alkyl; -N 3 ; -aryl; -substituted aryl; 10 -heteroaryl; -substituted heteroaryl; -heterocyclyl; -substituted heterocyclyl; -CO-aryl; 15 -CO-(substituted aryl); -CO-heteroaryl; and -CO-(substituted heteroaryl); R 3 and R 4 are each independently: -hydrogen; 20 -halogen; -alkyl; -alkenyl; -O-alkyl; -S-alkyl; and 25 -N(Rs)2; or when taken together, R 3 and R 4 form a fused aryl or heteroaryl group that is optionally substituted by one or more substituents selected from the group consisting of; -halogen; 30 -alkyl; 38 WO 2004/032829 PCT/US2003/025523 -alkenyl; -O-alkyl; -S-alkyl; and -N(Rs)2; 5 or when taken together, R 3 and R4 form a fused 5 to 7 membered saturated ring, optionally containing one or more heteroatoms and optionally substituted by one or more substituents selected from the group consisting of; -halogen; -alkyl; 10 -alkenyl; -O-alkyl; -S-alkyl; and -N(R3)2; each Rs is independently hydrogen or C1- 1 0 alkyl; and 15 n is 1 to 10; or a pharmaceutically acceptable salt thereof.

13. The immunostimulatory conjugate of claim 12 wherein R 2 is selected from the group consisting of hydrogen, alkyl and alkyl-O-alkyl. 20

14. The imnimunostimulatory conjugate of claim 13 wherein R 2 is selected from the group consisting of hydrogen, methyl, ethyl, propyl, butyl, cyclopropylmethyl, ethoxymethyl and methoxyethyl. 25

15. The innunostimulatory conjugate of claim 12 wherein R 3 and R 4 are taken together to form a benzene ring.

16. The inmmunostimulatory conjugate of claim 12 wherein R 3 and R 4 are taken together to form a pyridine ring. 30 39 WO 2004/032829 PCT/US2003/025523

17. The immunostimulatory conjugate of claim 12 wherein R 3 and R 4 are taken together to form a 6-membered saturated ring.

18. The immunostimulatory conjugate of claim 12 wherein R 3 and R4 are taken together to 5 form a 6-membered saturated ring containing a nitrogen atom.

19. The inmmunostimulatory conjugate of claim 12 wherein R 3 and R4 are independently selected from the group consisting of hydrogen and alkyl. 10

20. The immunostimulatory conjugate of claim 12 wherein R 1 has the formnnula: -X-Y-Z wherein X is an alkylene group optionally interrupted by one or more of: -0-; 15 -S(0)0-2-; -N(Rs)-; -N(Rs)-C(O)-; -N(Rs)-S(O2)-; -N(Rs)-C(O)-N(Rs)-; 20 -N(Rs)-C(S)-N(Rs)-; and -C(O)-N(Rs)-; Y is a bond or is selected from the group consisting of: -N(Rs)-; -N(Rs)-C(O)-; 25 -N(Rs)-C(O)-cyclohexyl-; -N(Rs)-C(O)-phenylene-; and -phenylene-; Z is the divalent linking group that is formed when the reactive group ZA covalently couples to the antigen; 30 ZA is a reactive group that reacts with the antigen to form a covalent bond; and 40 WO 2004/032829 PCT/US2003/025523 each Rs is independently hydrogen or C 1 - 1 0 alkyl.

21. The immunostimulatory conjugate of claim 20 wherein ZA is a group that reacts with primary amines. 5

22. The immunostimulatory conjugate of claim 21 wherein ZA is an N hydroxysuccinimide ester or an N-hydroxysulfosuccinimide ester.

23. The immunostimulatory conjugate of claim 20 wherein ZA is a group that reacts with a 10 sulfhydryl group.

24. The immunostirulatory conjugate of claim 23 wherein ZA is a maleimide or an iodoacetyl group. 15

25. The immunostimulatory conjugate of claim 20 wherein ZA is a photoreactive group.

26. The immunostimulatory conjugate of claim 25 wherein ZA is a phenyl azide.

27. The immunostimulatory conjugate of claim 26 wherein ZA is selected from the group 20 consisting of 4-azidophenyl, 2-hydroxy-4-azidophenyl, 2-nitro-4-azidophenyl, and 2-nitro-3 azidophenyl.

28. The immunostimulatory conjugate of claim 20 wherein Z is selected from the group consisting of: 25 -C(O)-; -C(O)-CH2-; 41 WO 2004/032829 PCT/US2003/025523 0 O ;and R wherein R' is hydrogen, hydroxy or nitro. 5

29. The immunostimulatory conjugate of claim 12 wherein the antigen comprises an amino acid sequence, a nucleotide sequence or a lipopolysaccharide.

30. The immunostimulatory conjugate of claim 29 wherein the amino acid sequence is a polypeptide. 10

31. The immunostimulatory conjugate of claim 30 wherein the polypeptide is a protein.

32. A compound of the formula: NH 2 N N SR2 RN X x R4 YI I 15 ZA wherein: X is an alkylene group optionally interrupted by one or more of: -0-; 20 -S(0)0-2-; -N(Rs)-; 42 WO 2004/032829 PCT/US2003/025523 -N(Rs)-C(O)-; -N(Rs)-S(O2)-5' -N(Rs)-C(S)-N(Rs)-; and -N(Rs)-C(S)-N(Rs)-; and 5 -C(O)-N(Rs)-; Y is a bond or is selected from the group consisting of: -N(Rs)-; -N(Rs)-C(O)-; -N(Rs)-C(O)-cyclohexyl-; 10 -N(Rs)-C(O)-phenylene-; and -phenylene-; ZA is a reactive group that reacts with the antigen to form a covalent bond; 112 is selected from the group consisting of: -hydrogen; 15 -alkyl; -alkenyl; -aryl; -substituted aryl; -heteroaryl; 20 -substituted heteroaryl; -alkyl-O-alkyl; -alkyl-S-alkyl; -alkyl-O-aryl; -alkyl-S-aryl: 25 -alkyl-O- alkenyl; -alkyl-S- alkenyl; and -alkyl or alkenyl substituted by one or more substituents selected from the group consisting of: -OH; 30 -halogen; 43 WO 2004/032829 PCT/US2003/025523 -N(Rs)2; -CO-N(Rs) 2 ; -CS-N(Rs)2; -SO 2 -N(Rs) 2 ; 5 -NRs-CO-ClO 10 alkyl; -NRs-CS-Cijo alkyl; -NRs- SO 2 -C1-1 0 alkyl; -CO-C 1 - 1 0 alkyl; -CO-O-C 1 - 1 0 alkyl; 10 -N 3 ; -aryl; -substituted aryl; -heteroaryl; -substituted heteroaryl; 15 -heterocyclyl; -substituted heterocyclyl; -CO-aryl; -CO-(substituted aryl); -CO-heteroaryl; and 20 -CO-(substituted heteroaryl); R 3 and R 4 are each independently: -hydrogen; -halogen; -alkyl; 25 -alkenyl; -O-alkyl; -S-alkyl; and -N(RS)2; 44 WO 2004/032829 PCT/US2003/025523 or when taken together, R3 and R4 form a fused aryl or heteroaryl group that is optionally substituted by one or more substituents selected from the group consisting of; -halogen; 5 -alkyl; -alkenyl; -O-alkyl; -S-alkyl; and -N(Rs)2; 10 or when taken together, R3 and R 4 form a fused 5 to 7 membered saturated ring, optionally containing one or more heteroatoms and optionally substituted by one or more substituents selected from the group consisting of; -halogen; -alkyl; 15 -alkenyl; -O-alkyl; -S-alkyl; and -N(R 5 ) 2 ; each Rs is independently hydrogen or C 1 - 1 0 alkyl; or 20 a pharmaceutically acceptable salt thereof.

33. A method of stimulating T cells of a patient, the method comprising: a) providing an immunostimulatory composition that comprises an immune response modifier portion paired with an antigenic portion; 25 b) permitting the immunostimulatory composition to bind to antigen-presenting cells, thereby activating the antigen-presenting cells; and c) permitting the activated antigen-presenting cells to stimulate the patient's T cells. 45 WO 2004/032829 PCT/US2003/025523

34. The method of claim 33 wherein the immune response modifier portion is an agonist of Toll-like receptor 2, Toll-like receptor 4, Toll-like receptor 6, Toll-like receptor 7, or Toll like receptor 8. 5

35. The method of claim 33 wherein the immune response modifier portion comprises an imidazoquinoline amine; a tetrahydroimidazoquinoline amine; an imidazopyridine amine; an aryl ether-substituted imidazopyridine amine; a 1,2-bridged imidazoquinoline amine; a 6,7 fused cycloalkylimidazopyridine amine; an imidazonaphthyridine amine; a tetrahydroimidazonaphthyridine amine; an oxazoloquinoline amine; a thiazoloquinoline 10 amine; an oxazolopyridine amine; a thiazolopyridine amine; an oxazolonaphthyridine amine; or a thiazolonaphthyridine amine.

36. The method of claim 33 wherein the immune response modifier portion and the antigenic portion are covalently coupled. 15

37. The method of claim 33 wherein the immune response modifier portion and the antigenic portion are paired by a chemical or physical association other than covalent coupling that limits independent diffusion of the immune response modifier portion with respect to the antigenic portion. 20

38. The method of claim 37 wherein the immunostimulatory composition comprises a colloidal suspension.

39. The method of claim 33 wherein the immunostimulatory composition is permitted to 25 bind to the antigen-presenting cells in vitro.

40. The method of claim 39 wherein the step of permitting the immunostimulatory composition to bind to antigen-presenting cells comprises: a) providing a cell culture comprising antigen-presenting cells; and 46 WO 2004/032829 PCT/US2003/025523 b) contacting an amount of the immunostimulatory composition effective for stimulating the antigen-presenting cells with the cell culture.

41. The method of claim 39 wherein the step of permitting the activated antigen 5 presenting cells to stimulate the patient's T cells comprises injecting the activated antigen presenting cells into the patient.

42. The method of claim 33 wherein the immunostimulatory composition is permitted to bind to the antigen-presenting cells in vivo. 10

43. The method of claim 42 wherein the step of permitting the immunostimulatory composition to bind to antigen-presenting cells comprises: a) providing the immunostimulatory composition as a component of a vaccine; and 15 b) vaccinating the patient with the vaccine.

44. The method of claim 42 wherein the immunostimulatory composition comprises a tumor-specific antigenic portion. 20

45. A method of stimulating antibody-producing cells, the method comprising: a) providing an immunostimulatory composition that comprises an inmnune response modifier portion paired with an antigenic portion; and b) permitting the immunostimulatory composition to bind to the antibody producing cells. 25

46. The method of claim 45 wherein the immune response modifier portion comprises an agonist of Toll-like receptor 2, Toll-like receptor 4, Toll-like receptor 6, Toll-like receptor 7, or Toll-like receptor 8. 47 WO 2004/032829 PCT/US2003/025523

47. The method of claim 45 wherein the immune response modifier portion comprises an imidazoquinoline amine; a tetrahydroimidazoquinoline amine; an imidazopyridine amine; an aryl ether-substituted imidazopyridine amine; a 1,2-bridged imidazoquinoline amine; a 6,7 fused cycloalkylimidazopyridine amine; an imidazonaphthyridine amine; a 5 tetrahydroimidazonaphthyridine amine; an oxazoloquinoline amine; a thiazoloquinoline amine; an oxazolopyridine amine; a thiazolopyridine amine; an oxazolonaphthyridine amine; or a thiazolonaphthyridine amine.

48. The method of claim 45 wherein the immune response modifier portion and the 10 antigenic portion are covalently coupled.

49. The method of claim 45 wherein the immune response modifier portion and the antigenic portion are paired by a chemical or physical association other than covalent coupling that limits independent diffusion of the immune response modifier portion with 15 respect to the antigenic portion.

50. The method of claim 49 wherein the immunostimulatory composition comprises a colloidal suspension. 20

51. The method of claim 45 wherein the immunostimulatory composition is permitted to bind to the antibody-producing cells in vivo.

52. The method of claim 51 wherein the step of permitting the immunostimulatory composition to bind to antibody-producing cells comprises: 25 a) providing the immunostimulatory composition as a component of a vaccine; and b) introducing the vaccine into a patient having antibody-producing cells.

53. The method of claim 51 wherein the immunostimulatory composition comprises a 30 tumor-specific antigenic portion. 48 WO 2004/032829 PCT/US2003/025523

54. The method of claim 45 wherein the immunostimulatory composition is permitted to bind to the antibody-producing cells in vitro. 5

55. The method of claim 54 wherein the step of permitting the immunostimulatory composition to bind to the antibody-stimulating cells comprises: a) providing a cell culture comprising antibody-producing cells; b) contacting the cell culture with an amount of the iimmunostimulatory composition effective for stimulating the antibody-producing cells. 10

56. The method of claim 45 further comprising collecting antibodies produced by the stimulated antibody-producing cells. 49